Accountable Care Organization Requirements

The goal of coordinated care is to ensure that patients get the right care at the right time while avoiding unnecessary duplication of services and preventing medical errors.

Accountable care organization requirements. When an aco succeeds both in delivering high quality care and spending health care dollars more wisely the aco will share in the savings it achieves for the medicare program. For accountable care organizations. Accountable care organizations with the shift to value based payment it is increasingly important to understand the components of an accountable care organization aco. When medicare saves money on services because a patient population is healthy it splits the savings with participating acos.

Federal agencies address legal issues regarding accountable care organizations participating in the medicare shared savings program on october 20 2011 as part of a cross agency coordinated effort several federal agencies issued documents addressing legal issues regarding accountable care organizations participating in the medicare shared savings program shared savings program. An accountable care organization aco is a healthcare organization that ties provider reimbursements to quality metrics and reductions in the cost of care acos in the united states are formed from a group of coordinated health care practitioners. The affordable care act established accountable care organizations acos as voluntary groups of physicians hospitals and other health care professionals who accept responsibility for the overall quality cost and care of a defined group of medicare beneficiaries. They use alternative payment models normally capitation the organization is accountable to patients and third party payers for the quality.

An accountable care organization aco is a group of doctors hospitals and other health care providers that work together on your care. Coordinated care helps ensure that patients especially the chronically ill get the right care at the right time with the goal of avoiding unnecessary duplication of services and. Accountable care organizations acos are one way that we re working to better coordinate your care. Find information about the shared savings program application process program participation financial benchmarking quality reporting and more.

Accountable care organizations acos are groups of doctors hospitals and other health care providers who come together voluntarily to give coordinated high quality care to the medicare patients they serve. Their goal is to give you and other people on medicare. Accountable care organizations represent a revolutionary shift in the healthcare business model. The following six guidelines are necessary to successfully create and manage an aco.